North Warren Medical Assoc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH WARREN MEDICAL ASSOC

Practice address

Panther Valley Mall, BLDG B Route 517
Hackettstown, NJ 07840

Phone

(908) 852-0107

Fax

(908) 850-9160

NPI assigned

Oct 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sanjay K Jain, MDNPI 1063455780

Title

Vice Presedent

Phone

(908) 852-0107

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sanjay K Jain, MD

  • Family Medicine Physician
  • Hackettstown, NJ
  • NPI 1063455780
  Authorized official Same address or phone
• Everaldo G Clavel, MD

  • Family Medicine Physician
  • Blairstown, NJ
  • NPI 1053366583
  NPD (past)
• Krithika Mullengada, MD

  • Internal Medicine Physician
  • Succasunna, NJ
  • NPI 1992785562
  NPD (past)
• Jeanette Diane Paterno, MD

  • Family Medicine Physician
  • Washington, NJ
  • NPI 1437121068
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477641074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PANTHER VALLEY MALL, BLDG B ROUTE 517",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-852-0107",
            "fax_number": "908-850-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PANTHER VALLEY MALL, BLDG B ROUTE 517",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-852-0107",
            "fax_number": "908-850-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WARREN MEDICAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VICE PRESEDENT",
        "authorized_official_telephone_number": "908-852-0107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8121907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Jersey Physical Therapy Associates, Inc.
• North Jersey Sports Medicine & Orthopedic Center, LLC (The Orthopedic Institute of NJ)
• North Jersey Sports Medicine and Orthopedic Center (The Orthopedic Institute of NJ)
• North Jersey Sports Medicine and Orthopedic Center LLC
• North Jersey Surgical Assistants LLC
• Northland Hearing Centers, Inc (Hear PA)
• Denise D. Novaky, PH.D.
• Dana Nucera
• Alexis O'Grady, OTR/L
• Patricia O'Shea, MSPT

• Family Medicine Physician in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.